Cha Hee Yun, Yang Soo Jin
Department of Food and Nutrition, Seoul Women's University, Seoul 01797, Korea.
Clin Nutr Res. 2020 Oct 28;9(4):241-257. doi: 10.7762/cnr.2020.9.4.241. eCollection 2020 Oct.
Schizophrenia is a mental illness characterized by symptoms such as hallucinations, delusions, disorganized speech, disorganized or catatonic behavior, and negative symptoms (emotional flatness, apathy, and lack of speech). It causes social and economic burdens to patients and their family. Although etiology of schizophrenia is still uncertain, dopamine dysregulation is traditionally considered as a main etiological factor of schizophrenia, which has been utilized to develop drugs for treating schizophrenia. Recently, inflammation has presented being a risk factor for schizophrenia in that neuroinflammation contributes to the pathophysiology of schizophrenia and the exacerbation of symptom severity. Various factors including diet can regulate inflammatory state. Specific foods or dietary patterns have anti- or pro-inflammatory potentials. Increased levels of pro-inflammatory cytokines and microglia activation have been reported in schizophrenia populations and were related to the pathogenesis of schizophrenia. Omega-3 fatty acids were often recommended to schizophrenia patients because of their anti-inflammatory activities. In this review, we investigate the inflammation-related pathogenesis of schizophrenia and summarize potential nutritional approaches to inhibit the manifestation of symptoms and to alleviate symptom severity using anti-inflammatory nutrients or functional components.
精神分裂症是一种精神疾病,其特征包括幻觉、妄想、言语紊乱、行为紊乱或紧张症行为以及阴性症状(情感平淡、冷漠和言语缺乏)。它给患者及其家庭带来社会和经济负担。尽管精神分裂症的病因仍不确定,但传统上认为多巴胺调节异常是精神分裂症的主要病因,这已被用于开发治疗精神分裂症的药物。最近,炎症已被证明是精神分裂症的一个危险因素,因为神经炎症导致精神分裂症的病理生理学变化和症状严重程度的加剧。包括饮食在内的各种因素可以调节炎症状态。特定的食物或饮食模式具有抗炎或促炎潜力。在精神分裂症患者中,促炎细胞因子水平升高和小胶质细胞活化已被报道,并且与精神分裂症的发病机制有关。由于其抗炎活性,ω-3脂肪酸经常被推荐给精神分裂症患者。在这篇综述中,我们研究了精神分裂症与炎症相关的发病机制,并总结了使用抗炎营养素或功能成分抑制症状表现和减轻症状严重程度的潜在营养方法。